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目的探讨应用宫、腹腔镜对输卵管性不孕的诊断价值及治疗效果。方法对75例经子宫输卵管碘油造影(HSG)证实为输卵管性不孕患者,根据不同部位病变进行治疗,如盆腔粘连松解、伞端扩张、造口及宫腔镜下输卵管间质部插管加压通液,开腹显微外科输卵管吻合、宫角植入等。结果 75例输卵管性不孕患者、144条输卵管中,输卵管再通数139条,再通率96.5%。共52例妊娠,妊娠率69.3%。结论应用宫、腹腔镜联合检查、治疗输卵管性不孕,可避免单独使用宫腔镜、腹腔镜或开腹整形的局限性,提高诊断的准确性及治疗效果。
Objective To investigate the diagnostic value and therapeutic effect of hysteroscopy and laparoscopy on tubal infertility. Methods Seventy-five cases of tubal infertility confirmed by hysterosalpingography (HSG) were treated according to the different parts of the disease, such as pelvic adhesions release, dilatation of umbrella end, stoma and hysteroscopic tubal interstitial plug Pressure tube through the open tube, open abdominal tubal anastomosis, Gong angle implantation. Results 75 cases of tubal infertility patients, 144 tubal, tubal recanalization number 139, the recurrence rate of 96.5%. A total of 52 cases of pregnancy, pregnancy rate was 69.3%. Conclusions The combined use of hysteroscopy and laparoscopy in the treatment of tubal infertility can avoid the limitations of hysteroscopy, laparoscopy or laparotomy alone and improve the diagnostic accuracy and therapeutic effect.